98 cases of chronic atrophic cholecystitis of laparoscopic surgery.docVIP

 PAGE \* MERGEFORMAT 12 98 cases of chronic atrophic cholecystitis of laparoscopic surgery [Abstract] Objective To evaluate laparoscopic atrophic chronic calculous cholecystitis cholecystectomy bile duct injury in surgical techniques and prevention of complications. Methods of June 2005 to December 2008 98 cases of chronic atrophic cholecystitis laparoscopic cholecystectomy were retrospectively analyzed. The results of laparoscopic cholecystectomy in 75 cases, subtotal cholecystectomy in 17 cases, conversion to open surgery in 6 cases, routine abdominal drainage tube placed under the liver, 1 to 3 days after extubation good recovery, no other complications and deaths, postoperative bile leakage in 1 case, cured by peritoneal drainage. Conclusion atrophic cholecystitis laparoscopic surgery is safe, but should belong to complex surgery. Proficiency in the operation of technical skills, careful separation of adhesions around the gallbladder and clear anatomic gallbladder triangle, identify the ampulla junction with the cystic duct, cystic duct and reasonable treatment, strict control of laparoscopic cholecystectomy, gallbladder surgery most of the indications, proper timing of control laparotomy, prevention of negative pressure drainage tube placement surgery is the key to successful completion. to master surgical indications, careful operation and skilled laparoscopic treatment of atrophic cholecystitis is feasible and effective. [Keywords:] atrophic cholecystitis, cholecystectomy, laparoscopic June 2005 to December 2008 in our hospital laparoscopic cholecystectomy (laparoscopic cholecystectomy, LC1 255 cases, including chronic atrophic cholecystitis in 98 patients. Now report clinical data as follows. 1 Materials and Methods 1.1 General information on 98 cases in this group of men and 46 cases, 52 females, 21 to 75 years, mean 51 years old, has history of recurrent right upper quadrant pain, history of 5 to 20 years, preoperative ultrasound report